A hospital in Jining city has performed complete laparoscopic choledochostomy, and more than 40 patients have benefited

2022-08-28 0 By

Qilu Evening News · Qilu One point reporter Yu Wei Correspondent Li Qian as the most widely used method of bilioenteroanastomosis at present, the implementation of Roux-EN-Y bilioenterostomy under complete laparoscopy, marks a hospital hepatobiliary surgery in the use of laparoscopic technology in the treatment of bilioenterostomy has reached the leading level.Since last year, the hospital has successfully carried out more than 40 operations, bringing good news to more patients.”Total laparoscopic surgery” refers to all the steps of the operation, which are completed under the laparoscope. Compared with traditional open surgery, it is more difficult to carry out the operation under the laparoscope, but it requires exquisite laparoscopic minimally invasive technology and a high degree of responsibility to the patient.Jining city first people’s hospital of courage outside director chang-lin ma said, totally laparoscopic Roux en – Y biliary intestinal anastomosis, is the use of specialized minimally invasive devices, diseased bile duct, bile and small intestine reconnect again secretion of bile flow back to the liver to the intestine, participate in the process of normal digestion and bile acid circulation,It is more consistent with the normal structure and function of human body, mainly suitable for the treatment of hilar cholangiocarcinoma Bismuth TYPE I, middle and upper cholangiocarcinoma, ampullary carcinoma and pancreatic head carcinoma.”Laparoscopy provides magnified, deeper site vision, clearer and more accurate surgical anatomy, and more thorough lymph node dissection.”Compared with traditional open surgery, the new technique has less trauma, less bleeding, lower risk and lower risk of postoperative bile leakage. Patients can eat early, recover quickly, stay in hospital 3-5 days on average, and effectively reduce complications, Ma said.Ma Changlin admitted that due to the complexity of the operation, the operator needs to have certain experience in laparoscopic surgery, and master the operation skills of laparoscopic exposure, separation and suture, which is the key to ensure the smooth implementation of the operation.”For example, biliary anastomosis, because the bile duct is thin, the thinnest may be only 1cm, it will be complicated and difficult to re-connect it with the intestine.”Today, the successful implementation of such operations has made a new breakthrough in minimally invasive surgery in the department of hepatobiliary surgery of the hospital.In the future, the Department of Hepatobiliary Surgery of Jining First People’s Hospital will continue to follow the cutting-edge technology of laparoscopic and minimally invasive surgery to provide higher level of medical services for the majority of patients.1. Diagnosis and treatment of liver cancer, liver metastases and benign liver tumors: minimally invasive laparoscopic surgery for liver cancer, difficult surgery for complex recurrent liver cancer and down-stage treatment and comprehensive treatment of liver cancer such as radiofrequency ablation, intervention, particle implantation, targeted immunity, radiotherapy, traditional Chinese medicine and so on.2. Diagnosis and treatment of pancreatic cancer and benign pancreatic tumors: minimally invasive laparoscopic surgery for pancreatic cancer, expanded vascular replacement and resection for pancreatic cancer, down-stage therapy and comprehensive treatment of chemotherapy, radiotherapy, particle implantation and targeted immunity for pancreatic cancer.3. Diagnosis and treatment of cholangiocarcinoma and gallbladder cancer: laparoscopic minimally invasive surgery for cholangiocarcinoma, difficult surgery for high hilar cholangiocarcinoma, down-stage treatment and comprehensive treatment of cholangiocarcinoma including chemotherapy, radiotherapy, particle implantation and targeted immunity.4. Three-scope combined minimally invasive surgery (laparoscope, choledochoscope and endoscope) for intrahepatic and intrahepatic bile duct stones and gallstones, complex surgery for multiple recurrent cholelithiasis, and gallstone and gallbladder polyp gallbladder preservation surgery.5. Hepatocirrhosis, portal hypertension, esophagogastric fundus variceal rupture and bleeding, hypersplenism, peritabellar cardiac vessel dissociation + splenectomy under laparoscopy;Diagnosis and treatment of difficult retroperitoneal tumors and complicated surgical excision.Declaration: The copyright of this article belongs to the original author, if there is a source error or infringement of your legitimate rights and interests, you can contact us through the mailbox, we will promptly deal with.Email address: jpbl@jp.jiupainews.com